Invisible clinical labor driving the successful integration of AI in healthcare

Artificial Intelligence and Machine Learning (AI/ML) tools are changing the landscape of healthcare decision-making. Vast amounts of data can lead to efficient triage and diagnosis of patients with the assistance of ML methodologies. However, more research has focused on the technological challenges...

Full description

Bibliographic Details
Main Authors: Mara Ulloa, Blaine Rothrock, Faraz S. Ahmad, Maia Jacobs
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-12-01
Series:Frontiers in Computer Science
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fcomp.2022.1045704/full
_version_ 1828123955090685952
author Mara Ulloa
Blaine Rothrock
Faraz S. Ahmad
Faraz S. Ahmad
Maia Jacobs
Maia Jacobs
author_facet Mara Ulloa
Blaine Rothrock
Faraz S. Ahmad
Faraz S. Ahmad
Maia Jacobs
Maia Jacobs
author_sort Mara Ulloa
collection DOAJ
description Artificial Intelligence and Machine Learning (AI/ML) tools are changing the landscape of healthcare decision-making. Vast amounts of data can lead to efficient triage and diagnosis of patients with the assistance of ML methodologies. However, more research has focused on the technological challenges of developing AI, rather than the system integration. As a result, clinical teams' role in developing and deploying these tools has been overlooked. We look to three case studies from our research to describe the often invisible work that clinical teams do in driving the successful integration of clinical AI tools. Namely, clinical teams support data labeling, identifying algorithmic errors and accounting for workflow exceptions, translating algorithmic output to clinical next steps in care, and developing team awareness of how the tool is used once deployed. We call for detailed and extensive documentation strategies (of clinical labor, workflows, and team structures) to ensure this labor is valued and to promote sharing of sociotechnical implementation strategies.
first_indexed 2024-04-11T14:59:48Z
format Article
id doaj.art-a636bec09adb4e14ad416fb324c7b3ac
institution Directory Open Access Journal
issn 2624-9898
language English
last_indexed 2024-04-11T14:59:48Z
publishDate 2022-12-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Computer Science
spelling doaj.art-a636bec09adb4e14ad416fb324c7b3ac2022-12-22T04:17:03ZengFrontiers Media S.A.Frontiers in Computer Science2624-98982022-12-01410.3389/fcomp.2022.10457041045704Invisible clinical labor driving the successful integration of AI in healthcareMara Ulloa0Blaine Rothrock1Faraz S. Ahmad2Faraz S. Ahmad3Maia Jacobs4Maia Jacobs5Department of Computer Science, Northwestern University, Evanston, IL, United StatesDepartment of Computer Science, Northwestern University, Evanston, IL, United StatesDepartment of Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, United StatesDepartment of Preventive Medicine, Northwestern University, Evanston, IL, United StatesDepartment of Computer Science, Northwestern University, Evanston, IL, United StatesDepartment of Preventive Medicine, Northwestern University, Evanston, IL, United StatesArtificial Intelligence and Machine Learning (AI/ML) tools are changing the landscape of healthcare decision-making. Vast amounts of data can lead to efficient triage and diagnosis of patients with the assistance of ML methodologies. However, more research has focused on the technological challenges of developing AI, rather than the system integration. As a result, clinical teams' role in developing and deploying these tools has been overlooked. We look to three case studies from our research to describe the often invisible work that clinical teams do in driving the successful integration of clinical AI tools. Namely, clinical teams support data labeling, identifying algorithmic errors and accounting for workflow exceptions, translating algorithmic output to clinical next steps in care, and developing team awareness of how the tool is used once deployed. We call for detailed and extensive documentation strategies (of clinical labor, workflows, and team structures) to ensure this labor is valued and to promote sharing of sociotechnical implementation strategies.https://www.frontiersin.org/articles/10.3389/fcomp.2022.1045704/fullartificial intelligencehealthcaresociotechnical systemsdecision support systemshuman-AI collaboration
spellingShingle Mara Ulloa
Blaine Rothrock
Faraz S. Ahmad
Faraz S. Ahmad
Maia Jacobs
Maia Jacobs
Invisible clinical labor driving the successful integration of AI in healthcare
Frontiers in Computer Science
artificial intelligence
healthcare
sociotechnical systems
decision support systems
human-AI collaboration
title Invisible clinical labor driving the successful integration of AI in healthcare
title_full Invisible clinical labor driving the successful integration of AI in healthcare
title_fullStr Invisible clinical labor driving the successful integration of AI in healthcare
title_full_unstemmed Invisible clinical labor driving the successful integration of AI in healthcare
title_short Invisible clinical labor driving the successful integration of AI in healthcare
title_sort invisible clinical labor driving the successful integration of ai in healthcare
topic artificial intelligence
healthcare
sociotechnical systems
decision support systems
human-AI collaboration
url https://www.frontiersin.org/articles/10.3389/fcomp.2022.1045704/full
work_keys_str_mv AT maraulloa invisibleclinicallabordrivingthesuccessfulintegrationofaiinhealthcare
AT blainerothrock invisibleclinicallabordrivingthesuccessfulintegrationofaiinhealthcare
AT farazsahmad invisibleclinicallabordrivingthesuccessfulintegrationofaiinhealthcare
AT farazsahmad invisibleclinicallabordrivingthesuccessfulintegrationofaiinhealthcare
AT maiajacobs invisibleclinicallabordrivingthesuccessfulintegrationofaiinhealthcare
AT maiajacobs invisibleclinicallabordrivingthesuccessfulintegrationofaiinhealthcare